HB 471 — Social Services Amendments

(i){(B)}(B) having a disabling mental disorder;

(ii){(C)}(C) having a physical, intellectual, or {mental } developmental disability that significantly impairs {their } the individual's ability to perform one or more activities of daily living, which may include eating, dressing, bathing, grooming, getting in and out of bed and chairs, walking, going outdoors, or using the toilet;

{or}(D) (iii){(D)} having a {chronic } substance use disorder{.}disorder; ;

or - 4 - HB0471 compared with HB0471S01 {(5) {The department shall disenroll any applicable individual who fails to comply with the work requirements.} } (E) having a serious or complex medical condition.condition;

(6){(5)}or Once(F) workexperiencing requirementshomelessness. are implemented, beginning August 31, 2027, and no later than August 31 of each subsequent year, the department shall submit annual reports to the Health and Human Services Interim Committee and the governor on compliance rates, the number and type of exemptions granted, and the impact on Medicaid enrollment.

(5) Once work requirements are implemented, beginning August 31, 2027, and no later than August 31 of each subsequent year, the department shall submit annual reports to the - 3 - H.B.

471 Enrolled Copy Health and Human Services Interim Committee and the governor on compliance rates, the number and type of exemptions granted, and the impact on Medicaid enrollment.

Section 226B-3-142.2 is enacted to read:

26B-3-142.2.26B-3-142.2 (Effective 01/01/27).

(EffectiveVerification 01/01/27)Verification of eligibility.

(c) identity;andidentity; {(d) {household composition;

and}and }(d) (e){(d)} citizenship or immigration status.

{(2)(2) {TheUpon departmentreceiving shall:}information } {(a) {each month receive and review information:} } {(i) {from the State Tax Commission concerning enrolleesan thatenrollee may indicate a change in circumstances that may affect Medicaid eligibility;} } {(ii) {from the Social Security Administration concerning enrollees, including earned income information, death register information, incarceration records, supplemental security income information, beneficiary records, earnings information, and pension information, that indicates a change in circumstances that may affect Medicaid eligibility;}eligibility, } {(iii) {from the federaldepartment Departmentshall ofpromptly Healthconduct andan Humaneligibility Servicesdetermination concerningfor enrollees,the includingenrollee incomeunless and employment information maintained in the nationalenrollee directoryhas ofcontinuous neweligibility hires database and child support enforcement data, that indicates a change in circumstancesaccordance thatwith maystate affect Medicaid eligibility;} } {(iv) {from the Commission on Criminal and Juvenilefederal Justice,law. concerning records related to jail and prison populations and other criminal matters that would benefit ineligibility;

and} } {(v) {from a source determined by the department, concerning household information;} } - 5 - HB0471 compared with HB0471S01 {(b) {each quarter receive and review information from the Department of Workforce Services and the State Tax Commission concerning enrollees that indicates a change in circumstances that may affect eligibility, including changes to employment or wages;

and} } {(c) {each year receive and review information concerning enrollees:} } {(i) {from the Internal Revenue Service, including tax filing data, adjusted gross income, and family composition, that indicates a change in circumstances that may affect Medicaid eligibility;

and} } {(ii) {from the State Tax Commission, including adjusted gross income and family composition, that indicates a change in circumstances that may affect Medicaid eligibility.} } {(3) } {(a) {The department shall enter into any data-sharing agreement with the agencies, departments, and bureaus described in this section as necessary to effectuate the requirements of this section.} } {(b) {A state agency described in this section shall share information with the department as described in this section.} } {(4) {The department may contract with an independent third party for database searches that may contain information that indicates a change in circumstances that may affect Medicaid applicant or enrollee eligibility.} } (5){(2)} Upon receiving information concerning an enrollee that indicates a change in circumstances that may affect Medicaid eligibility, the department shall promptly conduct an eligibility determination for the recipient.

(6){(a)}(a) {Unlesseligible prohibited by federal law, the department shall conduct eligibility redeterminations for all adult enrollees younger than 65 years old whose eligibility is determined based upon the application of modified adjusted gross income standards under 42 C.F.R.U.S.C.

435.603,1396a(a)(10)(A)(i)(VIII) includingonce adultsevery }six eligiblemonths; under 42 U.S.C.

Sec.and (b) not described in Subsection (3)(a) once every 12 months.

1396a(a)(10)(A)(i)(VIII) {and 42 U.S.C.

Sec.

1396u-1, at least } once every six months{.} ;

and (7){(b)} {The department shall conduct eligibility redeterminations for all enrollees } not described in Subsection {(6) at least } (3)(a) once every 12 months.

Section 326B-3-142.3 is enacted to read:

26B-3-142.3.26B-3-142.3 (Effective 05/06/26).

(EffectiveCitizenship 05/06/26)Citizenship requirements.

- 6 - HB0471 compared with HB0471S01 (1) As used in this section, "qualified citizen" means a resident of the United States and meets at least one of the following criteria:

(c) an alien who has been granted the status of Cuban or Haitian entrant, as defined in SectionS ection 501(e) of the Refugee Education Assistance Act of 1980;

{or} (d) an individual lawfully residing in the United States in accordance with a Compact of Free Association, as referenced in 8 U.S.C.

1612(b)(2)(G){.}1612(b)(2)(G); ;

(2) {The } Beginning on October 1, 2026, the department:

(a)- unless4 required- byEnrolled federalCopy law,H.B. may not provide medical assistance to any individual unless that individual is a qualified citizen;

(b)471 shall(a) requireunless thatrequired allby incomefederal oflaw, ineligiblemay householdnot membersprovide ofmedical theassistance applicantto beany includedindividual whenunless calculatingthat financialindividual eligibilityis fora Medicaidtoqualified thecitizen; extent allowed under federal law;

(b) shall require that all income of ineligible household members of the applicant be included when calculating financial eligibility for Medicaid to the extent allowed under federal law;

(e) may not allow a presumptive eligibility application to be approved unless the applicant attests that the applicant is a qualified citizen;andcitizen; {(f) {shall verify citizenship or immigration status before enrollment;} } (g){(f)} shall conduct regular cross-checks of applicant and enrollee information against federal databases, including the Systematic Alien Verification for Entitlements program{;

and}and .(f) shall conduct regular cross-checks of applicant and enrollee information against federal databases, including the Systematic Alien Verification for Entitlements program.

{(h) {shall promptly refer all applicants identified as an individual who is not a citizen or national of the United States and does not have lawful immigration status as defined under federal law to the United States Immigration and Customs Enforcement or other appropriate federal authorities for further investigation and enforcement.} } Section 4.

Section 426B-3-142.4 is enacted to read:

26B-3-142.4.26B-3-142.4 (Effective 01/01/27).

(EffectiveMulti-state 01/01/27)Multi-state enrollment.

-(1)(a) 7 - HB0471 compared with HB0471S01 (1) (a) {Beginning on or before January 1, 2027, the } The department shall:

(ii) conduct cross-checks regarding all address change information against state Medicaid enrollment {at least monthly } to identify enrollees who have moved out of state;

and (iv) conduct cross-checks of out-of-state electronic benefit transactions against state Medicaid enrollment {at least monthly } to identify enrollees who have moved out of state.

(3)(3)(a) (a) Beginning August 31, 2028, and no later than August 31 of each subsequent year, the department shall submit an annual report to the Health and Human Services Interim- Committee5 detailing- theH.B. implementation of the requirements established in this section.

471 Enrolled Copy Interim Committee detailing the implementation of the requirements established in this section.

Section 526B-3-142.5 is enacted to read:

26B-3-142.5.26B-3-142.5 (Effective 05/06/26).

(EffectiveRemove 05/06/26)Remove deceased enrollees.

- 8 - HB0471 compared with HB0471S01 (b) conduct cross-checks between information obtained from the death master file and state Medicaid enrollment at least each {month } quarter to identify deceased enrollees;

{(d)(d) {conduct cross-checks of data from the Office of Vital Records and Statistics against state Medicaid enrollment each month to identify deceased Medicaid enrollees;} } (e){(d)} remove any identified deceased enrollee from the Medicaid program promptly upon confirmation of death;

(f){(e)}(e) ensure that no Medicaid payments are made on behalf of a deceased enrollee for services rendered after the date of death;

and (g){(f)}(f) recoup any funds expended on deceased enrollees for capitations or services occurring after the date of death.

(3) The {state auditor } Office of Inspector General of Medicaid Services, created in Section 63A-13-201, shall conduct periodic reviews to ensure compliance with these requirements.

Section 626B-3-142.6 is enacted to read:

26B-3-142.6.26B-3-142.6 (Effective 01/01/27).

(EffectiveRetroactive 01/01/27)Retroactive eligibility.

1396a(a)(10)(A)(i)(VIII), including- pregnant6 women,- children,Enrolled elderlyCopy individuals,H.B. and individuals with disabilities.

471 including pregnant women, children, elderly individuals, and individuals with disabilities.

(2)(2)(a) (a) The department shall limit retroactive eligibility for Medicaid benefits as follows:

- 9 - HB0471 compared with HB0471S01 (b) The limitations described in Subsection (2)(a) apply only to initial applications for Medicaid and do not affect eligibility for continuous or ongoing coverage.

(3)(3)(a) (a) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the department shall make rules necessary to implement and enforce the provisions of this section.

(4)(4)(a) (a) Beginning on August 31, 2027, and no later than August 31 of each subsequent year, the department shall submit an annual report to the Health and Human Services Interim Committee detailing the implementation and impact of the retroactive benefits limitation established in Subsection (2).

and {(ii)(ii) {thethe totalestimated numbersavings of health claims submitted to the Medicaidstate programcreated thatdue wouldto havethe beenbenefits paidlimitation ifestablished retroactivein eligibility was three months but were denied payment because of Subsection (2)(a);(2).

and} } (iii){(ii)} the estimated savings to the state created due to the {denials described } benefits limitation established in Subsection {(4)(b)(ii)} (2).

Section 735A-17-202 is enacted to read:

35A-17-202.CHAPTER 17.

(EffectiveSNAP 05/06/26)ApprovalBenefits ofPart work2. requirement waiver request -- Prohibition for work requirement discretionary exemption.

17.Work Requirements 35A-17-202 (Effective 05/06/26).

SNAPApproval Benefitsof 2.work requirement waiver request.

Work Requirements (1) The department may not submit a waiver for a work requirement in accordance with 7 {U.S.C.- 7 - H.B.

471 Enrolled Copy U.S.C.

2015(o)(4) unless the waiver is approved by the Legislature and governor by concurrent resolution.} {(2) {The department may not exercise the state's option to provide exemptions from the work requirement described in 7 U.S.C.

Sec.

2015(o)(6)(F).} } U.S.C.

Sec.

Section 835A-17-301 is enacted to read:

-Part 103. - HB0471 compared with HB0471S01 35A-17-301.

(EffectiveCitizenship 05/06/26){Definitions}35A-17-301 Inclusion(Effective of05/06/26). financial resources.

3.Inclusion of financial resources.

{Verification} Citizenship {As used in this part, "EBT" means an Electronic Benefits Transfer card used to access SNAP benefits.} (1) The department shall determine an individual's eligibility for SNAP benefits in accordance with 7 U.S.C.

Sec.273.11(c)(3)Sec. and if approved by the United States Department of Agriculture, the department may not prorate or exclude the income, deductions, or financial resources of ineligible aliens in determining the eligibility and the value of the allotment of the household of which the individual is a member.

273.11(c)(3) and if approved by the United States Department of Agriculture, the department may not prorate or exclude the income, deductions, or financial resources of ineligible aliens in determining the eligibility and the value of the allotment of the household of which the individual is a member.

Section 935A-17-302 is enacted to read:

35A-17-302.35A-17-302 (Effective 05/06/26).

(Effective 05/06/26){Reviewing for change of circumstances -- Requirements} Citizenship requirements.

{(1) {To determine whether a change in circumstance exists that may affect an individual's or household's eligibility to receive SNAP benefits, the department shall review at least once per month information the department receives from:} } {(a) {the Department of Health and Human Services;} } {(b) {the Department of Corrections;} } {(c) {the National Change of Address database or returned mail received from the United States Postal Service;} } {(d) {the United States Social Security Administration, including payments received from Supplemental Security, pension, or beneficiary benefits;} } (1) In accordance with 7 U.S.C.

(e){(a)}(a) is a resident of the United StatesStates; {Department of Health and Human Services, including data from child support enforcement} ;

and {(f)(b) {themeets directoryat ofleast newone hires.}of } {(2) {To determine whether a change in circumstance exists that may affect an individual's or household's eligibility to receive SNAP benefits, the departmentfollowing shallcriteria: review:} } {(a) {at least once per quarter data that may indicate a change in wages or employment;

and} } - 11 - HB0471 compared with HB0471S01 {(b) {at least once per year data received from the State Tax Commission that may indicate a change in wages, household composition, or residency.} } {(3) {The department may enter into a memorandum of understanding with a state agency, department, or division to share the information described in this section.} } (b) meets at least one of the following criteria:

(4){(2)} {Nothing in this section prevents the } The department {from entering into a contract with } shall require an {independent contractor } individual to {receive data that may be necessary for the department } provide documentary proof of citizenship or immigration status to determine {continued } eligibility {of an individual or household that receives SNAP benefits} .

(3) Acceptable forms of documentary evidence of an individual's citizenship or alien status include:

(a) birth or hospital records;

(b) voter registration cards;

(c) United States passports;

(d) United States Citizenship and Immigration Service documentation;

or (e) electronically available data.

(5){(4)} If {the department enters into } an {agreement } individual is unable to provide the documentation described in {Subsections } Subsection (3) {and (4)} , the {department } department shall {ensure that the agreement meets state and federal data privacy requirements} verify the individual's alien status using the Systematic Alien Verification for Entitlementsonline service during enrollment and eligibility recertification.

Section 10.

Section 10 is enacted to read:

35A-17-303.

EBT review.

- 12 - HB0471 compared with HB0471S01 (1) At least once per month, the department shall review EBT data to determine whether an individual or household that receives SNAP benefits makes out-of-state EBT transactions for a period of 60 days or more.

(2) No later than 30 days from the day the department identifies the transactions described in Subsection (1), the department shall contact the individual or household to determine whether the individual or household resides in the state.

(3) An individual or household shall be ineligible to receive SNAP benefits if the department:

(a) determines that the individual or household no longer resides in the state;

or (b) is unable to determine whether the individual or household resides in the state.

Section 11.

Section 11 is enacted to read:

35A-17-304.

Income asset verification.

Unless required by federal law, the department may not:

(1) grant categorical eligibility under 7 U.S.C.

Sec.

2014(a) or 7 C.F.R.

Sec.

273.2(j)(2)(iii) for any noncash, in-kind, or other benefit for SNAP benefits;

and (2) except for financial resources described in 7 U.S.C.

Sec.

2014(g)(2)(D), apply gross income, allowable financial resources, or other resources described in 7 U.S.C.

Sec.

2014, at a higher standard than provided in 7 U.S.C.

Sec.

2014.

Section 12.

Section 12 is enacted to read:

35A-17-305.

Eligibility certification period.

The department shall assign certification periods of no less than three months and no more four months to households with zero net income, households that include an able-bodied adult without dependents, or other households whose circumstances are determined by the Department of Workforce Services to be unstable.

Section 13.

Section 13 is enacted to read:

35A-17-306.

Required action on changes that affect eligibility.

If the department receives information that indicates a change in circumstances that affects the eligibility of an individual or household that receives SNAP benefits, the department shall immediately review the individual's or household's eligibility for SNAP benefits to determine further eligibility.

Section 14.

Section 14 is enacted to read:

35A-17-307.

Rulemaking.

- 13 - HB0471 compared with HB0471S01 In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the office shall make rules to implement this chapter.

Section 15.

Section 15 is enacted to read:

Part 4.

Citizenship 35A-17-402.

Inclusion of financial resources.

(1) The department shall determine an individual's eligibility for SNAP benefits in accordance with 7 U.S.C.

Chapter 51, Supplemental Nutrition Assistance Program.

(2) Notwithstanding 7 C.F.R.

273.11(c)(3), the department may not prorate or exclude the income, deductions, or financial resources of ineligible aliens in determining the eligibility and the value of the allotment of the household of which the individual is a member.

Section 16.

Section 16 is enacted to read:

35A-17-403.

Citizenship requirements.

(1) In accordance with 7 U.S.C.

Sec.

2015(f), an individual may not participate in SNAP benefits unless the individual is:

(a) a resident of the United States;

and (b) meets at least one of the following criteria:

(i) a citizen or national of the United States;

(ii) an alien lawfully admitted for permanent residence as an immigrant, as defined in 8 U.S.C.

Secs.

1101(a)(15) and 1101(a)(20), excluding alien visitors, tourists, diplomats, students, or other individuals admitted temporarily without intent to abandon their residence in a foreign country;

(iii) an alien who has been granted the status of Cuban or Haitian entrant, as defined in Section 501(e) of the Refugee Education Assistance Act of 1980;

or (iv) an individual lawfully residing in the United States in accordance with a Compact of Free Association, as referenced in 8 U.S.C.

Sec.

1612(b)(2)(G).

or - 148 - HB0471Enrolled comparedCopy withH.B. HB0471S01 (e) electronically available data.

(4)471 (a)(e) Ifelectronically anavailable individualdata. is unable to provide the documentation described in Subsection (3), the department shall verify the individual's alien status using the Systematic Alien Verification for Entitlements online service during enrollment and eligibility recertification.

(b)(4) If thean departmentindividual is unable to verifyprovide anthe individual'sdocumentation ordescribed householdin member'sSubsection alien(3), status using the Systematicd Alienepartment Verificationshall forverify Entitlements online service, the departmentindividual's shallalien submitstatus tousing the UnitedSystematic StatesAlien DepartmentVerification offor AgricultureEntitlements andonline theservice Unitedduring Statesenrollment Immigration and Customseligibility Enforcementrecertification. the individual's or household member's information whether the individual or household member applies for SNAP benefits.

(5) The department shall review an individual's or household's continued eligibility for SNAP benefits at least monthly by using the Systematic Alien Verification for Entitlements online service or other federal database to confirm the individual's or household's citizenship or immigration status.

Effective date.

{This(1) } Except as provided in Subsection (2), this bill takes effect {on } May 6, 2026.

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